{"id":5008,"date":"2020-08-19T14:03:02","date_gmt":"2020-08-19T12:03:02","guid":{"rendered":"http:\/\/cl.pwszchelm.edu.pl\/?page_id=5008"},"modified":"2025-02-18T12:11:16","modified_gmt":"2025-02-18T11:11:16","slug":"formularz-zgloszeniowy-pilotaz","status":"publish","type":"page","link":"https:\/\/cl.panschelm.edu.pl\/?page_id=5008","title":{"rendered":"Formularz zg\u0142oszeniowy &#8211; pilota\u017c"},"content":{"rendered":"<p style=\"text-align: center;\"><!--<strong>W celu poprawnego wype\u0142nienia formularza nale\u017cy:<\/strong><\/p>\n\n\n\n\n\n<ul>\n \t\n\n<li>za\u0142\u0105czy\u0107 wype\u0142niony <a href=\"\/wp-content\/uploads\/2020\/08\/wniosek_2020.doc\">kwestionariusz kwalifikacyjny<\/a>,<\/li>\n\n\n \t\n\n<li>za\u0142\u0105czy\u0107 orzeczenie lotniczo-lekarskie klasy pierwszej,<\/li>\n\n\n \t\n\n<li>za\u0142\u0105czy\u0107 dokumentacj\u0119 po\u015bwiadczaj\u0105c\u0105 wykazane do\u015bwiadczenia lotnicze <span style=\"color: #ff0000;\">(dla kandydat\u00f3w z do\u015bwiadczeniem lotniczym)<\/span><\/li>\n\n\n<\/ul>\n\n\n--><\/p>\n<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f5007-o1\" lang=\"pl-PL\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F5008#wpcf7-f5007-o1\" method=\"post\" class=\"wpcf7-form wpcf7-acceptance-as-validation\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"5007\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.1.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"pl_PL\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f5007-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"g-recaptcha-response\" value=\"\" \/>\n<\/div>\n<h5 style=\"text-align: center; color: #13a538; font-weight: bold; margin-top: -45px;\">DOKUMENTY PODSTAWOWE\/OBOWI\u0104ZKOWE (WSZYSCY KANDYDACI):<\/h5>\n<div class=\"gdlr-item-title-divider\"><\/div>\n<p><label> <b>Imi\u0119 (wymagane)<\/b><br \/>\n    <span class=\"wpcf7-form-control-wrap your-name\"><input type=\"text\" name=\"your-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> <b>Nazwisko (wymagane)<\/b><br \/>\n    <span class=\"wpcf7-form-control-wrap your-surname\"><input type=\"text\" name=\"your-surname\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> <b>Tw\u00f3j Email (wymagany z domeny PANS)<\/b><br \/>\n    <span class=\"wpcf7-form-control-wrap your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> <b>Telefon (wymagany)<\/b><br \/>\n     <span class=\"wpcf7-form-control-wrap your-tel\"><input type=\"text\" name=\"your-tel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> <b>Numer albumu (wymagany)<\/b><br \/>\n     <span class=\"wpcf7-form-control-wrap your-index\"><input type=\"text\" name=\"your-index\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"form_album\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> <b> Wype\u0142niony <a href=\"\/wp-content\/uploads\/2026\/02\/Formularz-2026-form.pdf\">Kwestionariusz kwalifikacyjny(*pdf)<\/a> <span style=\"color: #13a538;\">(wymagany)<\/span><\/b> (maksymalnie 5MB)<br \/>\n<span class=\"wpcf7-form-control-wrap file-850\"><input type=\"file\" name=\"file-850\" size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" id=\"attach\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> <b> Orzeczenie lotniczo-lekarskie klasy pierwszej (wymagane)<\/b> (maksymalnie 5MB)<br \/>\n<span class=\"wpcf7-form-control-wrap file-851\"><input type=\"file\" name=\"file-851\" size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" id=\"attach\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<hr \/>\n<h5 style=\"text-align: center; color: #13a538; font-weight: bold;\">DOKUMENTY DODATKOWE\/NIEOBOWI\u0104ZKOWE <br \/>(KANDYDACI Z DO\u015aWIADCZENIEM LOTNICZYM):<\/h5>\n<div class=\"gdlr-item-title-divider\"><\/div>\n<p><label> <b> Licencja PPL(A)\/(H) albo Za\u015bwiadczenie LKE o zdanym egzaminie praktycznym do licencji pilota samolotowego PPL(A)\/(H)<\/b> (maksymalnie 5MB)<br \/>\n<span class=\"wpcf7-form-control-wrap file-853\"><input type=\"file\" name=\"file-853\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" id=\"attach\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> <b> Licencja szybowcowa SPL albo Za\u015bwiadczenie LKE o zdanym egzaminie praktycznym do licencji SPL<\/b> (maksymalnie 5MB)<br \/>\n<span class=\"wpcf7-form-control-wrap file-854\"><input type=\"file\" name=\"file-854\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" id=\"attach\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> <b> Wpis w licencji lub certyfikat po\u015bwiadczaj\u0105cy znajomo\u015b\u0107 j\u0119zyka angielskiego na poziomie ICAO level 4<\/b> (maksymalnie 5MB)<br \/>\n<span class=\"wpcf7-form-control-wrap file-855\"><input type=\"file\" name=\"file-855\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" id=\"attach\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> <b> Wpis w licencji lub certyfikat po\u015bwiadczaj\u0105cy znajomo\u015b\u0107 j\u0119zyka angielskiego na poziomie ICAO level 5<\/b> (maksymalnie 5MB)<br \/>\n<span class=\"wpcf7-form-control-wrap file-856\"><input type=\"file\" name=\"file-856\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" id=\"attach\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> <b> Wpis w licencji lub certyfikat  po\u015bwiadczaj\u0105cy znajomo\u015b\u0107 j\u0119zyka angielskiego na poziomie ICAO level 6<\/b> (maksymalnie 5MB)<br \/>\n<span class=\"wpcf7-form-control-wrap file-857\"><input type=\"file\" name=\"file-857\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" id=\"attach\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> <b> Wpis w licencji \u2013 VFR NOC lub stosowne za\u015bwiadczenie<\/b> (maksymalnie 5MB)<br \/>\n<span class=\"wpcf7-form-control-wrap file-861\"><input type=\"file\" name=\"file-861\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" id=\"attach\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<hr \/>\n<h5 style=\"text-align: center; color: #13a538; font-weight: bold;\">DOKUMENTY SK\u0141ADANE PRZEZ KANDYDAT\u00d3W Z DEKLAROWANYM NALOTEM:<\/h5>\n<div class=\"gdlr-item-title-divider\"><\/div>\n<p><label> <b> Protok\u00f3\u0142 z egzaminu praktycznego PPL<\/b> (maksymalnie 5MB)<br \/>\n<span class=\"wpcf7-form-control-wrap file-862\"><input type=\"file\" name=\"file-862\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" id=\"attach\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> <b> Po\u015bwiadczenie nalotu w charakterze dow\u00f3dcy statku powietrznego (PIC) w lotach trasowych po uzyskaniu licencji \u2013 ksi\u0105\u017cka pilota samolotowego\/\u015bmig\u0142owego.<\/b> (maksymalnie 5MB)<br \/>\n<span class=\"wpcf7-form-control-wrap file-863\"><input type=\"file\" name=\"file-863\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" id=\"attach\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label><b><a href=\"\/wp-content\/uploads\/2023\/02\/Postanowienia-RODO.pdf\"> Postanowienie RODO *<\/a><\/b><br \/>\n<span class=\"wpcf7-form-control-wrap acceptance-668\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"acceptance-668\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span><\/label><\/p>\n<p><input type=\"submit\" value=\"Wy\u015blij\" class=\"wpcf7-form-control wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output wpcf7-display-none\"><\/div><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-5008","page","type-page","status-publish","hentry"],"publishpress_future_action":{"enabled":false,"date":"1970-01-01 01:00:00","action":"","terms":[],"taxonomy":"","browser_timezone_offset":0},"_links":{"self":[{"href":"https:\/\/cl.panschelm.edu.pl\/index.php?rest_route=\/wp\/v2\/pages\/5008","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cl.panschelm.edu.pl\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cl.panschelm.edu.pl\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cl.panschelm.edu.pl\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cl.panschelm.edu.pl\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5008"}],"version-history":[{"count":10,"href":"https:\/\/cl.panschelm.edu.pl\/index.php?rest_route=\/wp\/v2\/pages\/5008\/revisions"}],"predecessor-version":[{"id":7163,"href":"https:\/\/cl.panschelm.edu.pl\/index.php?rest_route=\/wp\/v2\/pages\/5008\/revisions\/7163"}],"wp:attachment":[{"href":"https:\/\/cl.panschelm.edu.pl\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5008"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}